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Divisions of the Pharynx
Nasopharynx
– Posterior to the nasal cavity and superior to
the soft palate
Oropharynx
– Extends from soft palate superiorly to
vallecula inferiorly.
Laryngopharynx
– Inferior to the tip of epiglottis to the
cricopharyngeus
Image courtesy of Tabby Kennedy, MD
Hard palate
Soft palate
Sagittal Neck CT
Tongue
Sagittal View
Image courtesy of Tabby Kennedy, MD
Nasopharynx
Oropharynx
Sagittal Neck CT
Laryngopharynx
Esophagus
Larynx
Sagittal View
Image courtesy of Tabby Kennedy, MD
Sagittal Neck CT
Vallecula
Epiglottis
Hyoid
Bone
Sagittal View
Image courtesy of Tabby Kennedy, MD
Sagittal Neck CT
Lateral Neck Radiograph
Vallecula
Epiglottis
Hyoid
Bone
Image courtesy of Tabby Kennedy, MD
Lateral Neck Radiograph
NP
OP
LP
Larynx
Esophagus
Image courtesy of Tabby Kennedy, MD
Lateral View – Barium Swallow
Vallecula
Epiglottis
Aryepiglottic
folds
Hyoid
Larynx
Trachea
Patients swallow
barium which
coats the mucosal
surfaces of the
pharynx
Image courtesy of Tabby Kennedy, MD
Lateral View – Barium Swallow
Oropharynx
Laryngopharynx
Piriform
recess
Patients swallow
barium which
coats the mucosal
surfaces of the
pharynx
Esophagus
Image courtesy of Tabby Kennedy, MD
Image courtesy of Tabby Kennedy, MD
Frontal View – Barium Swallow
Coronal Neck CT
Coronal CT Neck
Stylopharyngeus
Styloid process –
Note
stylopharyngeus
arises from medial
surface
Tonsils
Pharyngeal
–
–
Palatine
–
Lingual
–
Also known as adenoids
Located on the roof of the
nasopharynx
Located on each side of the
oropharynx between the
pharyngeal arches
Lymphoid tissue along the
tongue base anterior to the
vallecula
Image courtesy of Tabby Kennedy, MD
Sagittal CT Neck: Tonsils
Pharyngeal Tonsils
(adenoids)
Lingual
Tonsils
Image courtesy of Tabby Kennedy, MD
Axial CT Neck: Tonsils
Palatine
Tonsils
Image courtesy of Tabby Kennedy, MD
Axial CT Neck:
Floor of the Mouth Structures
Genioglossus
Hyoglossus
Lingual neurovascular bundle
Coronal CT Neck:
Floor of the Mouth Muscles
Anterior belly of the digastric
Geniohyoid
Mylohyoid
Axial CT Neck: Salivary Glands
Parotid gland
Sublingual gland
Submandibular gland
and duct*
* Duct not seen,
but courses along
lateral hyoglossus
muscle
Skeletal Framework of the Larynx
Hyoid Bone
Arytenoid
Thyroid
Cartilage
Cricoid
Image courtesy of Tabby Kennedy, MD
Axial CT Neck:
Skeletal Framework of the Larynx
Image courtesy of Tabby Kennedy, MD
Thyroid
Cartilage
Hyoid Bone
Axial View – Superior
Arytenoid
Axial View - Inferior
Cricoid
Axial CT Neck:
Skeletal Framework of the Larynx
Image courtesy of Tabby Kennedy, MD
Larynx – Coronal and Sagittal
Glottis: True vocal
cords
Coronal view
Ventricle
True Vocal
Cords
Image courtesy of Tabby Kennedy, MD
Larynx – Coronal and Sagittal
Supraglottis: above the
glottis
Vestibular
(False)
Folds
Image courtesy of Tabby Kennedy, MD
Larynx – Coronal and Sagittal
Glottis: True vocal
cords
Image courtesy of Tabby Kennedy, MD
Larynx – Coronal and Sagittal
Subglottis: below the
glottis, to the inferior
border of cricoid
Image courtesy of Tabby Kennedy, MD